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1174983357
JACOB HENDRICKS
IRVINE, CA
NPI
1174983357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 43287)
Enumeration Date
2016-03-01
Last Update Date
2021-11-29
Business Address
JACOB HENDRICKS
224 GRAND CANAL
IRVINE, CA 92620-1884
Phone number: 612-867-4218
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Mailing Address
JACOB HENDRICKS
224 GRAND CANAL
IRVINE, CA 92620-1884
Phone number:
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